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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701250
Report Date: 09/28/2023
Date Signed: 09/28/2023 05:42:03 PM

Document Has Been Signed on 09/28/2023 05:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:FAITH CHAPEL LEARNING ACADEMYFACILITY NUMBER:
376701250
ADMINISTRATOR:AMBER DELUCAFACILITY TYPE:
850
ADDRESS:9400 CAMPO ROADTELEPHONE:
(619) 567-7557
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 90TOTAL ENROLLED CHILDREN: 40CENSUS: 32DATE:
09/28/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Mikayla GuzmanTIME COMPLETED:
12:29 PM
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On 9/28/23 at 11:50am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a case management inspection for the purpose of a capacity decrease. Upon arrival, LPA met with Assistant Director, Mikayla Guzman and was led on a tour the facility. There were 32 children and eight (8) staff members present. The facility is requesting a capacity decrease to 75 preschool children, ages 2-5 years and to remove room 102 from the preschool license. Hours of operation are Monday through Friday from 7:00am – 5:30pm.

Classrooms 104, 105, 106 and 107 were inspected and previously measured a total of 2694.79 square feet which is sufficient to accommodate the requested capacity. Classrooms are equipped with age-appropriate furniture, including cots for napping, tables, chairs, cubbies, bookshelves and other materials for children. There are five (5) toilets and nine (9) sinks for children's use, which is sufficient to accommodate the requested capacity.

The outdoor activity space was inspected and previously measured 5,980 square feet, which is sufficient to accommodate the requested capacity.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies were cited.

A capacity decrease to 75 preschool children ages 2-5 years in rooms 104, 105, 106 and 107 is granted effective today’s date.

Exit interview conducted with Assistant Director, Mikayla Guzman. Notice of Site Visit shall be posted for 30 days from today's date. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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